TRABECULAR METAL AUGMENTS Includes Surgical Technique Abbreviated for LCCK and RHK Trabecular Metal Augments
AN OPTIMAL COMBINATION OF MATERIAL AND DESIGN Provides structural support in areas of bone loss. Offers an alternative to grafting procedures Trabecular Metal Augments combine the benefits of Trabecular Metal material with the clinically proven NexGen Complete Knee Solution LCCK and RHK revision knee systems. TRABECULAR METAL MATERIAL Stiffness similar to bone. Porosity greater than 80%. Fully interconnected pores allow uninterrupted pathways for secure fixation. Cellular structure resembles bone. Unites strength with excellent biocompatibility. FEATURES Femoral Augments available in 5, 10, 15 and 20mm distal and 5 and 10mm posterior. Tibial Augments available in 5 and 10mm half-blocks.
TRABECULAR METAL AUGMENTS 1 TRABECULAR METAL FEMORAL AUGMENT ASSEMBLY Assemble and initially tighten the femoral augments to the femoral component using the Augment Starter Screwdriver (Fig.1). When the augments are properly positioned, the outer periphery of the augment will be flush with the outer rail of the femoral component. Confirm that the outer edge of the augment, in the area of the 45-degree chamfer, does not protrude outside of the edge of the femoral component. Confirm that, when distal and posterior augments are used together, there is no direct contact between the augments. Note: When both distal and posterior augments will be used, it is recommended to assemble the distal augments first. This will facilitate assembly of the posterior augments. Fig.1 The Starter Screwdriver will facilitate initial assembly
Fig. 2 2Final tightening must be performed using the Torque Wrench. Insert the appropriate hex driver bit onto the Torque Wrench. The straight hex driver is used with distal augments. For the posterior augments, the offset hex driver is used (Fig. 2). Tighten the augment attachment screw using the Torque Wrench until the wrench clicks and releases, indicating that the proper torque level has been achieved. Final positioning of the augment must be completed before the cement begins to cure. 1 TRABECULAR METAL TIBIAL AUGMENT ASSEMBLY Assemble the tibial augments to the tibial base using the straight-hex head driver. Assure that the augments are properly positioned. Note: The tibial augments are provided in Right Lateral/Left Medial as well as Left Lateral/Right Medial versions. When the augments are positioned on the correct side of the tibial base, the elongated openings in the tibial augment will be facing toward bone. Refer to Figures 3 and 4 for correct and incorrect placement. Fig. 3 Correct Assembly (Openings face bone) The Torque Wrench and offset Hex Bit are used for final tightening. WARNING: The Torque Wrench must be used to assure proper attachment screw torque. Undertightening may result in augment and/or screw loosening. Over tightening may result in damage to Trabecular Metal material and/or the screw thread. Fig. 4 Incorrect Assembly WARNING: If the incorrect side is assembled to the base plate, holding capacity between the base plate and augment may be seriously compromised.
2When properly positioned, the outer 3Final tightening must be performed using the Torque Wrench. periphery of the augment will be flush (or will slightly overlap) the outer rim of the tibial plate (Fig. 5) When two tibial half block augments are used together, there should be no direct contact between the augments. Fig. 5 Outer edge of Augment will be flush or overlap Tibial Base Plate Attach the straight hex driver to the Torque Wrench (Fig. 6). Tighten the augment attachment screw using the Torque Wrench until the wrench clicks and releases indicating that the proper torque level has been achieved. If cement is to be used in conjunction with attachment screws, final tightening must be completed before the cement begins to cure. WARNING: The Torque Wrench must be used to assure proper attachment screw torque. Undertightening may result in augment and/or screw loosening. Over tightening may result in damage to Trabecular Metal material and/or the screw thread. Fig. 6 Tighten the screw using the Torque Wrench until the wrench clicks and releases.
TRABECULAR METAL AUGMENTS Manufactured by IMPLANTS Augment Blocks for NexGen Femoral Components* 5490-30 Kit includes 2 of each for 5 and 10mm sizes 5490-30-01 Kit includes 2 of each for 15 & 20mm sizes 5490-33-01 5mm Posterior Fem Augment, Size C 5490-33-02 10mm Posterior Fem Augment, Size C 5490-33-10 5mm Distal Fem Augment, Size C 5490-33-20 10mm Distal Fem Augment, Size C 5490-33-23 15mm Distal Only Fem Augment, Size C 5490-33-24 20mm Distal only Fem Augment, Size C 5490-34-01 5mm Posterior Fem Augment, Size D 5490-34-02 10mm Posterior Fem Augment, Size D 5490-34-10 5mm Distal Fem Augment, Size D 5490-34-20 10mm Distal Fem Augment, Size D 5490-34-23 15mm Distal Only Fem Augment, Size D 5490-34-24 20mm Distal Only Fem Augment, Size D 5490-35-01 5mm Posterior Fem Augment, Size E 5490-35-02 10mm Posterior Fem Augment, Size E 5490-35-10 5mm Distal Fem Augment, Size E 5490-35-20 10mm Distal Fem Augment, Size E 5490-35-23 15mm Distal Only Fem Augment, Size E 5490-35-24 20mm Distal Only Fem Augment, Size E 5490-36-01 5mm Posterior Fem Augment, Size F 5490-36-02 10mm Posterior Fem Augment, Size F 5490-36-10 5mm Distal Fem Augment, Size F 5490-36-20 10mm Distal Fem Augment, Size F 5490-36-23 15mm Distal Only Fem Augment, Size F 5490-36-24 20mm Distal Only Fem Augment, Size F * LCCK and RHK Femoral Components Augment Blocks for NexGen Tibial Base Plates** 5490-96 Kit includes 1 of each 5mm & 10mm Tibial Augments 5448-02-26 5mm Tibial Augment Block, Rt Lat/Lt Med, Size 2 5448-02-27 10mm Tibial Augment Block, Rt Lat/Lt Med, Size 2 5448-02-36 5mm Tibial Augment Block, Lt Lat/Rt Med, Size 2 5448-02-37 10mm Tibial Augment Block, Lt Lat/Rt Med, Size 2 5448-03-26 5mm Tibial Augment Block, Rt Lat/Lt Med, Size 3 5448-03-27 10mm Tibial Augment Block, Rt Lat/Lt Med, Size 3 5448-03-36 5mm Tibial Augment Block, Lt Lat/Rt Med, Size 3 5448-03-37 10mm Tibial Augment Block, Lt Lat/Rt Med, Size 3 5448-04-26 5mm Tibial Augment Block, Rt Lat/Lt Med, Size 4 5448-04-27 10mm Tibial Augment Block, Rt Lat/Lt Med, Size 4 5448-04-36 5mm Tibial Augment Block, Lt Lat/Rt Med, Size 4 5448-04-37 10mm Tibial Augment Block, Lt Lat/Rt Med, Size 4 5448-05-26 5mm Tibial Augment Block, Rt Lat/Lt Med, Size 5 5448-05-27 10mm Tibial Augment Block, Rt Lat/Lt Med, Size 5 5448-05-36 5mm Tibial Augment Block, Lt Lat/Rt Med, Size 5 5448-05-37 10mm Tibial Augment Block, Lt Lat/Rt Med, Size 5 5448-06-26 5mm Tibial Augment Block, Rt Lat/Lt Med, Size 6 5448-06-27 10mm Tibial Augment Block, Rt Lat/Lt Med, Size 6 5448-06-36 5mm Tibial Augment Block, Lt Lat/Rt Med, Size 6 5448-06-37 10mm Tibial Augment Block, Lt Lat/Rt Med, Size 6 5448-07-26 5mm Tibial Augment Block, Rt Lat/Lt Med, Size 7 5448-07-27 10mm Tibial Augment Block, Rt Lat/Lt Med, Size 7 5448-07-36 5mm Tibial Augment Block, Lt Lat/Rt Med, Size 7 5448-07-37 10mm Tibial Augment Block, Lt Lat/Rt Med, Size 7 ** Finned Stem Tibial Base Plate component Distributed by Spare Items (Not in Kits) 5490-92-10 Femoral Augment Screw 5490-91-10 Tibial Attachment Screw, 5 & 10mm INSTRUMENTS 5979-10 Trabecular Metal Augment Instrument Kit 7053-01 Augment Torque Wrench 7053-02 Torque Wrench Straight Hex Screw Bit 5987-92-02 Torque Wrench Offset Hex Screw Bit 5987-92-03 Augment Starter Screwdriver (2 ea. per set) 5888-15-20 Generic Case Please refer to the package inserts for complete product information including contraindications, warnings, precautions, and adverse effects. Contact your Zimmer Representative or visit us at www.zimmer.com. 97-5448-02 2.5ML Printed in USA 2003 Zimmer, Inc. This device is indicated for use with bone cement in the U.S.